Active NPI
Geryn Home Health Care Agency, Inc.
- Home Health Agency
- Houston, TX
National Provider Identifier
1063445740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012796
- Legal business name
- GERYN HOME HEALTH CARE AGENCY, INC.
- Practice address
- 12000 Westheimer Rd Ste 215
Houston, TX 77077-6697 - Phone
- (818) 800-0144
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edvard Gevorgyan
- Title
- Ceo
- Phone
- (281) 800-1109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 012796 | TX | Primary |
Addresses
Primary practice location
12000 Westheimer Rd Ste 215
Houston, TX 77077-6697
Mailing address
12000 Westheimer Rd Ste 215
Houston, TX 77077-6697
Phone (818) 800-0144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024161401 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | gerynhome@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040620000005 | TX | Part A Provider - Home Health Agency | 2163407651 | Practice locations: Houston, TX |
Home health agency certification: CCN 458496
- Legal name
- GERYN HOME HEALTH CARE AGENCY, INC
- Doing business as
- GERYN HOME HEALTH CARE AGENCY, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 21, 1995
- Last certification
- Mar 13, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 12, 1995 in TX
- Enrollment address
- 12000 Westheimer Rd
Ste 215
Houston, TX 77077-6697
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Geryn Home Health Care Inc
- Ownership
- Proprietary
- Certified
- Aug 21, 1995
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1825 Market Center Blvd
Ste 300
Dallas, TX 75207
Phone (972) 228-4960
12000 Westheimer Rd
Ste 215
Houston, TX 77077
Phone (281) 800-1109
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Edvard Gevorgyan | 5% Or Greater Direct Ownership Interest | May 6, 2022 | 50% |
| Corporate Officer | May 6, 2022 | 100% | |
| Corporate Director | May 6, 2022 | 100% | |
| W-2 Managing Employee | May 6, 2022 | 100% | |
| Syed Raza Rizvi | 5% Or Greater Direct Ownership Interest | May 6, 2022 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683676800000",
"number": "1063445740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 WESTHEIMER RD STE 215",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770776697",
"telephone_number": "818-800-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 WESTHEIMER RD STE 215",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770776697",
"telephone_number": "818-800-0144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERYN HOME HEALTH CARE AGENCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A",
"authorized_official_last_name": "GEVORGYAN",
"authorized_official_first_name": "EDVARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "281-800-1109"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "012796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024161401",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "gerynhome@gmail.com",
"affiliation": "N",
"address_1": "12000 Westheimer Rd Ste 215",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770776697",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
- Kelli C. Gershon, MSN, APRN, BC-PCM
- Yoheved Shira Gerstein, MS
- Caren Rae Gertner Fritts, PH.D
- Richard E Gervais, D.D.S.
- Tialisa Gervais, M.S. CCC-SLP
- Gessner Anesthesia Associates PLLC
- Gessner Care Center Corp.
- Gessner Dental Center, PA
- Gessner Dialysis & Kidney Center LLC
- Mallory Elaine Gessner, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.